Singh PT & Wellness

07/28/2026

07/17/2026

Pain resilience is built by strengthening the skills that help you move through it.

Which of these skills do you find the hardest to practice—and why?

07/07/2026

I'm excited to share the outcomes of our randomized controlled trial, published in this special edition of Physical Therapy in Mental Health.

Before the findings, I want to share the road that got us here and acknowledge the team: Kerstin Palombaro, PT, PhD; Rose Pignataro, PT, DPT, PhD; Janet Bezner, PT, DPT, PhD; Carey Rothschild, PT, DPT. As many of you know, research is a rigorous process. This didn't happen overnight.

Here's how it unfolded.

Many years ago, I noticed I was hitting a wall with some patients.

I was doing many things right. My patients understood their pain better. Some moved better. But too many were stuck, bracing for the next flare, unwilling to take a risk to return to activity and get their life back.

📉 Education and exercise alone weren't enough. (Research supports this.)

🧩 That wall became a starting point. In October of 2023, we first published PRISM: Pain Recovery and Integrative Systems Model in PTJ: Physical Therapy & Rehabilitation Journal. The framework proposed that we consider resilience alongside vulnerability in physical therapy. https://doi.org/10.1093/ptj/pzad077

💡 Then one of our profession's most respected scholars took the time to look at what we were building and encouraged me to keep going. Not just theorize it. Test it.

🔬 So we did. We operationalized PRISM as Pain Resilience Therapy (PRT). In November of 2024, we published a three-person case series in the Journal of Physiotherapy in Mental Health: https://jptmh.com/index.php/jptmh/article/view/9277/7989

The results were promising. And the same mentor pushed me... again. Go further. Gather more data. Run a trial. Compare it to the standard.

📋 That RCT is now complete: 60 adults with chronic low back pain were randomized to 8 sessions of Pain Resilience Therapy (PRT) or Pain Neuroscience Education (PNE) and followed for 90 days.

📄 Four papers have come from it. This is the first.

We examined 11 psychological and mental health risk and resilience factors using the validated OSPRO-YF assessment.

📊Pain Resilience Therapy outperformed PNE on 8 of 11 outcomes, with medium-to-large effect sizes for anxiety, kinesiophobia, pain catastrophizing, fear avoidance, self-efficacy for rehabilitation, and pain acceptance.

📈Small changes for depression and pain self-efficacy.
💢 Anger did not change.

We also looked at the Number Needed to Treat (NNT), which tells you how many people need to receive Pain Resilience Therapy for just one person to benefit. Anything below a 10 is effective and clinically meaningful. The NNTs are solid:

✅ 2 self-efficacy for rehabilitation
✅ 3 kinesiophobia
✅ 3 pain acceptance
✅ 3 for pain catastrophizing

🔗 Here's the study: https://doi.org/10.3390/healthcare14131940

There's a lot here. Too much to share on social media. Please consider reading it. We welcome your questions and feedback.

American Physical Therapy Association (APTA)

07/07/2026

It is Tuesday!!!!

Tonight is our EMPOWER WEEKLY parent group!

What happens in our EMPOWER WEEKLY group on Tuesday’s? We come together as parents/grandparents/guardians of children and teens of all ages from across the nation.

We learn new skills that help us communicate more effectively, to cope, and to manage our own reactions and emotions more effectively

We share our experiences and support one another.

We focus on what we can control.

To guide us through movement and breath.

Tonight's Topic:

When we disagree: helping our kids learn that conflict can be safe,respectful and repairable

You do not need to sign up, just show up.

You do not have to speak or turn your camera on.. Just come.. https://www.onemoremoment.net/meeting-links 7-8pm central You are not alone

07/07/2026

05/19/2026

It is Tuesday!!!!

Tonight is our EMPOWER WEEKLY parent group!

Mindfulness Edition!

What happens in our EMPOWER WEEKLY group on Tuesday’s? We come together as parents/grandparents/guardians of children and teens of all ages from across the nation.

We learn new skills that help us communicate more effectively, to cope, and to manage our own reactions and emotions more effectively

We share our experiences and support one another.

We focus on what we can control.

Tonight: Geeta is joining us to teach us some mindfulness skills!

From Spinning to Steady: Grounding practices that help us interrupt overwhelm and reconnect to calm

You do not need to sign up, just show up.

You do not have to speak or turn your camera on.. Just come.. https://www.onemoremoment.net/meeting-links 7-8pm central You are not alone

05/18/2026

04/30/2026

What an honor! I am at a loss for words. It is hard to describe what Lee Charities is pouring into Baldwin County. Tangible support on so many levels: financial support, mentorship, a leadership school, a sharing shed, a volunteer switch board, and even offering us airspace on the radio! Their level of caring for those of us on the front lines is unmatched. Lee charities is filing a gap. Giving us a community where we can put our oxygen mask on and put our boots on and work hard, and learn. One More Moment is what it has become because of all the love that has been poured into it, the relational support that is foundational to staying the course and digging in everyday towards a mission. Thank you so much for believing in OMM, and for your dedication to the little guys who are out here trying to make the world a better place.

04/21/2026

Looking to get creative this May? 🎨

The Huntsville Museum of Art’s Museum Academy offers a variety of high school and adult art classes for all skill levels, from beginners to experienced artists. Explore mediums like drawing, painting, ceramics, and more, all taught by experienced instructors in a studio setting.

Whether you’re trying something new or sharpening your skills, there’s a class for you. Space is limited, so don’t wait to sign up!

👉 View classes and register: https://hsvmuseum.org/high-school-adult-classes/